Provider Demographics
NPI:1619374857
Name:EMPOWERMENT THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:EMPOWERMENT THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:CHASE
Authorized Official - Last Name:LOCKHART
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:303-549-7087
Mailing Address - Street 1:8120 SHERIDAN BLVD STE 207B
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-6157
Mailing Address - Country:US
Mailing Address - Phone:303-549-7087
Mailing Address - Fax:720-789-7560
Practice Address - Street 1:8120 SHERIDAN BLVD STE 207B
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-6157
Practice Address - Country:US
Practice Address - Phone:303-549-7087
Practice Address - Fax:720-789-7560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11501101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty